Madison Mednorth Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MADISON MEDNORTH PRIMARY CARE

Practice address

101 Westover Cir
Madison, AL 35758-4909

Phone

(256) 278-9731

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Romualdo Enrique Diaz, MD

Title

President

Phone

(256) 278-9731

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1659838456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17449 CARILLON DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356110617",
            "telephone_number": "256-278-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTOVER CIR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584909",
            "telephone_number": "256-278-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDNORTH PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROMUALDO ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-278-9731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Home Health Care, Inc.
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• Madison Hospital
• Madison Manor Nursing Home LLC
• Madison Medical Associates
• Madison Open MRI, LLC (Madison Open MRI)
• Madison Optometry LLC
• Madison Oral and Facial Surgery, LLC
• Madison Pediatric Dentistry LLC
• Madison Pharmacy Inc. (Madison Health Mart Pharmacy)

• Family Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.